Return to Competition Protocol Synchronized Swimming

Transcription

1 *If a concussion is suspected, remove the athlete immediately from the pool and refer to your health professional for complete concussion evaluation and treatment as required.* Name of athlete: first medical consultation: Diagnosis: of incident: Stage 1 : FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A) at the start of each day and consult Medical Consultation (name the professional) Physical activity and any signs or symptoms following work on the computer, watching TV, noise, etc Complete rest until symptom free for 24 hours The athlete must not present any signs or symptoms for 24 hours prior to attempting to proceed through to the next stage. Furthermore, the athlete must obtain medical approval prior to advancing to the next stage of the protocol: - dizziness - headaches - nausea/vomiting - fatigue - trouble sleeping - sleepiness/feeling in a cloud - trouble with balance - sensitivity to light and/or noise - concentration - trouble with memory - numbness - anxiety - sadness - irritability - more emotional than usual - nervousness *If any signs or symptoms return or persist, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely.* 1 de 13

2 Stage 2 : FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A) at the start of each day and consult Medical Consultation (name the professional) - Headache or return of any sign or symptom (2 or higher on the post concussion evaluation scale) - Contacts - Pool Return to light physical activity out of pool Exercises Stationary bike (progressive 5 to 20 min 75%FCmax or 65% VO2max) Stabilization Exercises (core) Light Flexibility (3-4 x 30sec) Proprioception on the ground (progress from 2 legs eyes open to single leg eyes closed) Return to rest and obtain medical approval prior to attempting Stage 3 Done / not done Comment from athlete and/or supervisor Supervisor initials *If any signs or symptoms return or persist, STOP TRAINING IMMEDIATELLY, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely. Consult with your health care professional before proceeding to next stage.*

3 Stage 3 FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A), at the start of each day and consult Medical Consultation (name the professional) - Headache or return of any sign or symptom (2 or higher on the post concussion evaluation scale) - Contacts - Hold breath and/or head down in-pool Increase intensity and see tolerance to effort out of pool only Return in pool (LIGHT swimming and «eggbeater»). Arm movements out of pool (land drill). Keep athlete concentrated during regular training time. 3 de 13

4 Exercises Progressive Activation out of pool Stabilisation Exercises Tubing Proprioception on ground and on wabble boards Flexibility Verify all signs and symptoms Video or other and help correct teammates «Land drill» 30 (before or after activation sequence and intervals) Progressive Activation in pool swimming without holding breath Swim low intensity 20 minutes and increase as tolerated «Egg beater» 20 minutes, Intervals (add arm mvts) Ex 5 x 3 at 85% FCmax or 75% VO2max, 2 rest Cool Down on bike 10 and/or light flex Return to rest and obtain medical approval prior to next stage Done / Not Done Comment from athlete and/or supervisor Supervisor initials *If any signs or symptoms return or persist, STOP TRAINING IMMEDIATELLY, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely. Consult with your health care professional before proceeding to next stage.*

5 Stage 4 : FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A) at the start of each day and consult Medical Consultation (name the professional) - Headache or return of any sign or symptom (2 or higher on the post concussion evaluation scale) - Avoid possibility of contact with teammates Intensity + Direction changes, short duration effort Return to regular gym Head down OUT OF POOL Work head under water (but not down) 5 de 13

6 Exercises Progressive return to regular activation out of pool with team Progressive return to regular gym Progressive return to tubing Proprioception on wabble boards / sit fits Return to regular flex with team Verify all signs and symptoms Video or other or help correct teammates Progressive return to «Land drill» Head down out of pool with diving harness and/or Gymnastics bar, suspend at knees 14 x 10 down : 10 repos Verify all S & S Progressive return to Activation in pool with team Arm movements in pool («eggbeater» or following group) with music Head underwater, holding breath, no physical effort 14 x 10 under water : 10 out of water Cool Down bike or light flex Return to rest and obtain medical approval prior to next stage Done / Not Done Comment from athlete and/or supervisor Supervisor initials

7 *If any signs or symptoms return or persist, STOP TRAINING IMMEDIATELLY, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely. Consult with your health care professional before proceeding to next stage.* Comments For gym work: stay at 80% of RM or less, avoiding jumps, heavy weight lifting and exercises in an inclined or declined position or with head below hips (ex : back extension on bench). If no signs or symptoms, may add more complex exercises per session and slowly begin re-integrating jumps and other plyometrics as well as skipping rope as activation. «Land drill»: The athlete must be able to follow the timings/counts and be synchronized with other teammates 7 de 13

8 Stage 5 FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A) at the start of each day and consult Medical Consultation (name the professional) - Headache or return of any sign or symptom (2 or higher on the post concussion evaluation scale) - Avoid contact with teammates (STAY OUT OF PATTERN) Technical work Work head down, under water Increase speed of execution (arm movements, etc )

9 Exercises and training as per usual Progressive return to regular activation out of pool Regular Gym and tubing with teammates Verify all S&S Video or other or help correct teammates Regular «Land drill» with team Regular in pool Activation with team «fish» position 14 x 10 : 10 Test 400m swim Verify all S&S «Barracuda» Head under, with physical effort as per ratios required 14 x 10 : 10 Technical elements individual execution (name those done) Return to Routine execution in parts OUT OF PATTERN, at athlete s pace Normal Cool Down Return to rest and obtain medical approval prior to next stage Done / Not Done Comment from athlete and/or supervisor Supervisor initials *If any signs or symptoms return or persist, STOP TRAINING IMMEDIATELLY, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely. Consult with your health care professional before proceeding to next stage.* 9 de 13

10 Stage 6 : FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A) at the start of each day and consult Medical Consultation (name the professional) - Headache or return of any sign or symptom (2 or higher on the post concussion evaluation scale) Integrate technical synchro work with 2 to 3 teammates to regain points of reference in the water (STAY OUT OF PATTERN, duet and smaller groups ok) Diving (contact with water) and acrobatics or jumps Pool work with music, from parts to full routine

11 Exercises and training as per usual Regular Activation out of pool with team Regular gym and tubing with team Verify all S&S Video or other or help correct teammates Regular «Land drill» with team Regular in pool Activation with team 5 front dives and 5 back dives for entry to water Verify all S&S Execute technical elements (name those done) with 2-3 teammates Routine execution as per normal but OUT OF PATTERN Normal Cool Down Return to rest and obtain medical approval prior to next stage Done / Not Done Comment from athlete and/or supervisor Supervisor initials *If any signs or symptoms return or persist, STOP TRAINING IMMEDIATELLY, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely. Consult with your health care professional before proceeding to next stage.* Comments Validate if athlete can adjust to teammates around her and execute at required speed and intensity as well as be synchronized with her teammates. Arials: add acrobatic elements to create contact with water 11 de 13

12 Stage 7 : FILL IN THE POST-CONCUSSION SYMPTOMS SCALE (see annex A), at the start of each day and consult Medical Consultation (name the professional) Any return of Signs and / or Symptoms Re-integrate Training and Competition as per usual Exercises and training as per usual Re-integrate Gym and all normal out of pool activities Re-integrate Pool and all normal inpool activities Done / Not Done Comment from athlete and/or supervisor Supervisor initials Comments Go Canada Go KEEP AN EYE ON THE ATHLETE FOR AT LEAST ANOTHER WEEK TO ENSURE THAT NO SIGNS OR SYMPTOMS RETURN DURING TRAINING. Should any return, remove immediately from training, rest for 24 hours and consult with team physician before re-integrating training. File Closed by: : Comments: Signature of treating health care professional:

13 ANNEX A Name of athlete: Evaluator: : POST CONCUSSION SYMPTOMS EVALUATION SCALE Fill in at the start of each day and consult with your health care professional to discuss the results. Ask athlete to note the severity of their symptoms using a 0-6 severity scale. Nothing = 0-1 Moderate = Severe = 5-6 Symptoms D1 D2 D3 D4 D5 D6 D7 D8 D9 D10 Dizziness Headaches Nausea/vomiting Fatigue Trouble with sleep Sleep more than usual Sleepiness Trouble with balance Sensitivity to light Sensitivity to noise Concentration Feeling slowed down Feeling in a cloud Trouble with memory Numbness Anxiety Sadness Irritability More emotional than usual Nervousness Other (specify) The athlete must be symptom free for 24 hours before attempting to proceed to the next stage of the protocol. Furthermore, they must obtain medical approval to pass from one stage to the next. *If any signs or symptoms return or persist, continue with complete rest for at least another 24 hours, or until signs and symptoms disappear completely.* 13 de 13